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Home My WebLink AboutMiscellaneous - 605 OSGOOD STREET 4/30/2018 (2) ! 605 OSGOOD STREET 210/035.0-0032-0000.0 ,/..fv r II s e y b , �� i �� I North Andover Board of Assessors Public Access Page 1 of 1 Parcel ID: 210/035.0-0032-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge - - - -- IWO P i'd rft Location: 605 OSGOOD STREET Owner Name: CULLEN,ALBERT F,JR MAEVE M CULLEN Owner Address: 605 OSGOOD STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 7 - 7 Land Area: 12.7 acres Use Code: 101 - SNGL-FAM-RES Total Finished Area: 4237 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 815,500 766,300 Building Value: 545,300 512,200 Land Value: 270,200 254,100 Market Land Value: 270,200 Chapter Land Value: LATESTSALE Sale Price: 200,000 Sale Date: 07/19/1982 Arms Length Sale Code: Y-YES-VALID Grantor: CHARLES MARY F Cert Doc: Book: 01591 Page: 0167 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&LinkId=802981 6/13/2006 Residential Property Record Card PARCEL_ID:210/035.0-0032-0000.0 MAP:035.0 BLOCK:0032 LOT:0000.0 PARCEL ADDRESS:605 OSGOOD STREET PARCEL INFORMATION Use Code: _101 "-Sale Price 200,000_ Book- 01591Road Type -T- P InspectDate`. 03/15/2 „004 Tax Class: T Sale Date: 07/19/198.2 Page. 0167 Rd Condition: P Meas Date: Owner :Tot.Fin Area: 4237---- Sale _ Type.. P - - Cert/Doc: Traffic: - M "' Entrance:_ _ X - CULLEN,ALBERT F,JR - - - Tot Land Area: -12.7 Sale Valid: _Y Water: Collect Id: RRC MAEVE M CULLEN - - - `-� -.-Grantor:- CHARLES MARY F -'` `- Sewer: - � ' � Inspect M Address: - - -- - - - - _ ye r: OSGOOD STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LM Indust-B/L% 0/0 Open Sp-B/L% 0/0 NORTH ANDOVER MA 01845 RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 9 Main Fn Area: 2197 Attic: y NBHD CODE: 7 NBHD CLASS: 7 ZONE: R2 - - Se T e '-Code Method S4-Ft Acres Influ-YEN Value Class Story Height: 2.25 Bedrooms: 5 �Up Fn Area: 2040 Bsmt Area: 2148 9 YP, q-- Roof: G Full Baths: 5 Add Fn Area: Fn Bsmt-Area: 1 P 101 S 43560 1 - 215,186 Ext Wall: FB Half Baths: Unfin Area: 600 Bsmt Grade: 2 R 101 A 11.7 54,990 Masonry Trim- Ext Bath Rx:- Tot Fin Area:,_ 4237 j VALUATION INFORMATION Foundation: CN Bath Qual T RCNLD: 495692 Current Total: 815,500 Bldg: 545,300 Land: 270,200 MktLnd: 270,200 - Kxt tch: T Eff r- Built: 1965 Mkt n dj: 1.1 Prior Total: 766,300 Bldg: 512,200 Land: 254,100 MktLnd: 254,100 Heat Type: ST Ext Kitch: _ Year Built: _ 1900_ Sound Value: Fuel Type: O Grade: GV Cost Bldg: 545,300 Fireplace: 4 Bsmt Gar Cap: Condition: GV Att Str Val1: Central AC: N Bsmt Gar SF: - 'Pct Complete: Att Ste V612: Att Gar SF:' 1116/oGood P/F/E/R: /100/100/83 Porch Type Porch Area Porch Grade Factor P 564 SKETCH PHOTO 52 FM1S Urg.35 FU"0. 5 224A q.R. G 3 5432gt. 0y.R. 1116 Sq. .3: EA I 18 9 wwomwNNW AvdAn'q.R. I Parcel ID:210/035.0-0032-0000.0 as of 6/13/06 Page 1 of 1 FORM 4—SYSTEM PUMPING RECORD RECEIVED Commonwealth of Massachusetts JUL 312014 North Andover, Massachusetts HEA TH DEPAR DOVER System Pumping Record System Owner: System Location: Doug & Kathy Keith 605 Osgood Street 605 Osgood Street North Andover North Andover, MA 01845 Date of Pumping: 7/18/14 Quantity Pumped: 1,000 gallons Cesspool: No ® Yes ❑ Septic Tank: No ❑ Yes System Pumped by: D.F. Clark, Inc. License: BHP-2014-0087 Contents transferred to: Ipswich Wastewater Treatment Plant Date: Inspector: Septic System Information 605 OSGOOD STREET Printed On:Friday,July 07,2006 System ID: BHS-2006-0013 x General System Information Latest Permit Information ' Calcaluted Design Flow: Test Pits Septic Tank Disposal Trench Design Flow: One Two Capacity.- Number: P tY� Design Flow Provided: Minutes per inch: Width: Width: Total Flow: Depth: Length: Length: Seasonal: No No Depth to Water: Diameter. Leaching: Grinder: No No Soil Type: Depth: Laundry: No No Inspections: Inspected: Expires: Inspector: Status: 06/06/2006 Benjamin C.Osgood,Jr. Passes Comments: Title 5 GeoTMS®2006 Des Lauriers Municipal Solutions;Inc. Page 1 of 1 Town of North Andover Health Department Date: Location: (Indicate Address,if Residential,or Name of Business) Check#• / / 14V >_ Tyye of Permit or License: (Circle) ➢ Animal $ ➢ Dumpster ; $ ➢ Food Service-Type: $ ➢ Funeral Directors $ " ➢ Massage Establishment $ r� ➢ Massage Practice $ ':. ➢ Offal(Septic)Hauler $ ;z ➢ Recreational Camp $ � I ➢ SEPTIC PERMITS: k. El Septic-Soil Testing $ ❑ Septic-Design Approval $ Ej Septic Disposal Works Construction(DWC)$ r ❑ Septic Disposal Works Installers(DWI) $ a` ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ 0 ➢ Well Construction $ ➢ OTHER:(Indicate) Hea th Agent Initials i658 White-Applicant Yellow-Health Pink-Treasurer x: NEw ENGLANDENGENEERING SERVICES, INC. 1600 Osgood Street Building 20 Suite 2-64 North Andover, MA 01845 'Pel: (978) 686-1768 • Fax: (978) 327-6138 Benjamin C. Osgood, Jr., P.E. President June 6, 2006 Title 5 #06-49 RECEIVED Ms. Susan Sawyer North Andover Board of Health JUL - 6 2006 1600 Osgood Street Bldg 20 ' TOWN OF NOR-F- !jOVER North Andover, MA 01845 HEALTH DEPARTN'ZNT RE: TITLE V REPORT: 605 Osgood Street North Andover, MA Dear Ms. Sawyer: Enclosed is the Title 5 Report for the above referenced property. The system PASSES the inspection. If there are any questions please call me at my office, 686-1768. Sincerely, enj n C. Osgoo , Jr. Certified Title 5 Inspector NEW ENGLAND ENGINEERING SERVICES,INC. 9267 Town of North Andover 7/6/2006 605 Osgood and 1468 Salem Street,Title 5 100.00 RECEIVE® ', JUL - 6 2006 TOWN OF NORTH 4.'Tu0\,E.R HEALTH DEPARTIvitNT R,f .c. Checking-Banknorth 100.00 I of 11 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INS-PECTION FORM-NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: I 0 1,Trust for Public Land Owner's Address: 33 Union Street 4's Floor Boston,MA 02108 Date of Inspection: June 6,2006 Name of Inspector: (please print) Benjamin C.Osgood,Jr. Certified Title 5 Inspector Company Name: New England Engineering Services Inc. Mailing Address: 1600 Osgood Street Building 20 Suite 2-64,North Andover,MA 01845 Telephone Number: 978-686-1768 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of the on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15340 of Title 5(3 10 CMR 15.000).The system: X Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: ��.� Date• C� 4 The system inspection shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. 2of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A► ; CERTIFICATION(continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: . YES I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. .Any failure criteria not evaluated are indicated<below. Comments: B. System Conditionally-Passes: NO One or more system components asdescribed in the"Conditional,Pass"section,need to bereplacedor repaired: -The system, upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined".please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. Systemmill>pass.inspection if the existing tank-is replaced,witha complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or-breakout or high static water,level,in-the distribution.box-due to-broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): Broken pipe(s)are replaced Obstruction is removed Distribution box.is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): Broken pipe(s)are replaced Obstruction is removed ND explain: 3of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION,(continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: 12000I[,Trust for Public Land Date of Inspection: June 6,2006 C. Further Evaluation is Required.by:the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety andthe environment: - Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a,salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that"protects=the public health,safety"and environment: The system has a septic tank and (SAS)Soil Absorption System and the(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic,tank and"the SAS is within,50 feet of a-private water supplyvei1. - The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance **This system passes if the well.water analysis;performed at a DEP certified,laboratory;for colifvnn,bacteriaand volatile organize compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attachedto this form. 3. Other: 4of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (conYnued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 D. System Criteria applicable to all systems: You must indicate"yes or No"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to,an overload.or clogged SAS or cesspool. ✓ Static liquid level in the distribution box above outlet invert due to an overload or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than''%s day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any Poition of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private mater supply well. Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (this system passes if the well water analysis,,performed,at a DEP certified laboratory for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrogen is equal to or less than 5ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NO _(Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CNIR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the sy m must serve a facility with a design flow of 10, gpd to 15,000 gpd. You must indicate either`yes'or"no"to ea c the following: (The following criteria apply to large systems in a ' 'on to the criteria above) Yes No The system is within 400 feet of a surface drinkin er supply The system is-within 200 feet of a tribe to a surface water supply The system is located in a nitro sensitive area(Interim Wellhead Pro on Area—IWPA)or a mapped Zone II of a public water supply w If you answered"yes"to any qu in Section E the system is considered a significant threat,.or answe "yes"in Section D above the large system has failed owner or operator of any large system considered a significant threat under 'on E or failed under Section D shall upgrade stem in accordance with 310 CMR 15.304. The system owner should contact the ap priate regional office of the Dep t. 5of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 Check if the following have been done. You must indicate"Yes"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health Were any of the system components pumped out in the previous two weeks_? Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of an inspection? ✓ Were as built plans of the system obtained and examined? (If they were not available note as N/A) V/ Was the facility or dwelling inspected for signs of sewage back up? ✓/ Was the site inspected for sign of break out? Were all system components,excluding the SAS,located on site? ✓ Were all the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? V/ Was the facility owner(and occupants if difference from owner)provided with information on the proper maintenance of the subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No Existing information. For example,a plan at the Board of Health. Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMR 15.302(3)(b)] 6of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design)__=__Number of bedrooms(actual): 3 DESIGN flow based in 310 CMR 15.203(for example: 110 gpd x #of bedrooms) — Number of current residents: 2 Does residence have a garbage grinder(yes or no): YES Is laundry on a separate sewage system(yes or no):_No [if yes separate inspection required] Laundry system inspected(yes or no): - Seasonal use: (yes or no): No Water meter readings,if available(last 2 years usage(gpd):,3S& Gu��o,,,s jec. Ag5 A—c&aye- f-oQ Sump Pump (yes or no): Yes Pas yea A Last date ofGanem occu panty Z—�3 CrPD �.►�Ita�` �R- PST COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgk etc Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no) Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Unknown Was system pumped as part of the inspection(yes or no): No If yes,volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank, distribution box,soil absorption system -Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attached a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: Built 1997 per owner Were sewage odors detected wen arriving at the site(yes or no): No of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: MOMAW Trust for Public Land Date of Inspection: June 6,2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: X cast iron , 40 PVC other(explain) Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): Pipe looks ok in basement. SEPTIC TANK: (locate on site plan) Depth below grade: 4'with 2 risers . Material of construction: X concrete metal fiberglass polyethylene Other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gallons Sludge depth: 41 N Distance from top of sludge to bottom of outlet tee or baffle:_� 36 Scum thickness: 41 Distance from top of scum to top of outlet tee or baffle: 7 Distance from bottom of scum to bottom of outlet tee or baffle /0-1 How were dimensions determined: -A E'A+s o it O�' Vrig-K Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tank in ok condition risers to within 6"of grade.Sch 40 outlet tee in good condition. GREASE TRAP: locate on site plan) Depth below grade: Materials of construction: concrete metal fiberglass polyethylene other (explain) -Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of sludge to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc. 8of11 OFFICIAL INSPECTION FORM=NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: .k Trust for Public Land Date of Inspection: June 6,2006 TIGHT OR HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Materials of construction: concrete metal fiberglass polyethylene other (explain) Dimensions: Capacity: gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0` Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): Boz ok cover cracked. Riser added as part of inspection. PUMP CHAMBER: N/A (locate on sire plan) Pumps in working order(yes or no) Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): • • V l 9of11 OFFICIAL INSPECTION FORM—NOT-FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: -603 Osgood Street North Andover,MA-01843 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 SOIL ABSORPTION SYSTEM(SAS): {locate on site plan,excavation not reguired If SAS not located explain why TYPE X leaching pits number 1 shallow leach pit leaching chambers; number leaching galleries number leaching trenches,number in length leaching fields;number;dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: -Comments{note conditionof-soil;-signs of hydraulic failure.Level-of ponding,damp soil,condition of vegetation,etc) Area of'system looks normal. CESSPOOLS: N/A (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of Construction: Indication of groundwater inflow(yes or no): Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: N/A (locate on site plan) Material of construction: Dimensions: Depth of solids: Comments(note condition of soil signs of hydraulic failure,level of ponding,condition of vegetation,etc. 10 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: I r Trust for Public Land Date of Inspection: June 6,2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. �Rt vaE 0 J t b 14`" Z" iCOP 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Ott TRvX7- fat pu$w c LANs Date of Inspection: June 6,2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record—If checked,date of design plan reviewed: f _ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health—explain: Checked with local excavator,installers—(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: t15g-cs 17 .+ I._vp iGgnFr c ve4 2 Dep r,&e > C•o l � Pel, ti;3 C�tJtO�� CIaQ � I� CTvaCs ptovocCr, 12y �'K6 OWN6YL A-'T %!Nate'` vF (,vspce- r11G✓�, 7-2GC CA-10 c..•"T}* 1 tiP/C, 4Tl v&- OF R` Oc e p v47'M- 7-46!C— ( I , S' vl F f - ti t � i �p't -•f 1 x , TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 1 ' k� `} ' SYSTEM OWNER&ADDRESS SYSTEM LOCATION 44 (examPle: left front of house) / 7G '4d d4 LEE p �7 mm "QUANTITY PUMPED 1L GALLONS ,R l CESSPOOL:'"NO YES_ SEPTIC TANK: NO YES 4 IR}i - ':'�' NATURE OF SERVICE: . ROUTINE EMERGENCY y 1 „ BSERVATIONS �rd y .. I lZW1,�C�( d �l.i GOOD CONDITION” FULL TO COVER _ j HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED _ SOLIDS CARRYOVER_ OTHER(EXPLAIN) SWI uSYSTEM PUMPED a �t�b�i'',f t�f��, ��yu i b k•1,i ( � � �,� O'T't-1 W i�l�s�� iii,t G � W {{ 2 �i. OMMENTSs � p t'1F�u�� I ''�..•'} ��1 k aRl IST,{ 7 l�A` k {22 f �t�yp`5`�15a1 K",V P.t -R�s� x i.'e 9 La M (Sn P Lid,%t4! y .- wt �p� � ji[y ,`a,CtQI�TENTS TRANSFERRED TO. C/ ZJA 1711 T O Wil' 0 ��O R z�;;>�%��>�� a ��° i SYSTEM PU.YIPI11' G DEC y 5 2002 I -- -� U -,�E R 8 -- D C S S �S 7, T ------ — Fa ot d4 Ile eq �Pjw�� . UFP JM IN C U A N'i 'T C 0 Yi.S SCS'"�i NE U :" S =RVIC ROUTIr E C UUD CUNUITIOh' FA VY CREASE AFFL �LS' -- --- R0cTS ! EACHFIE ' � � .. ,• � - -- LXCESSIYE SOLIDS FLOODED -- - SOLIDS CARRYOVER O;HER (EXF'! .: � � ----- - d r'N TS AlINSFCIII\ED 1 ) I